Objectives:
Previous studies have linked activity in the upper trapezius muscle with neck pain. However, no studies have examined whether asymmetric activation of these muscles during the working day is associated with neck pain. This study aimed to investigate this relationship.
Methods:
Seven research institutes provided data on bilateral upper trapezius muscle activity on one working day, along with corresponding questionnaire data on cross-sectional (n = 530) and longitudinal (n = 256) neck pain intensity. The asymmetry, defined as the activity difference between the two upper trapezius muscles, was calculated as an average across the entire workday and within various intensity levels in relation to maximum voluntary isometric contraction (MVIC). Unadjusted and adjusted linear regression analyses were executed to examine the association between asymmetric muscle activation and neck pain intensity.
Results:
In cross-sectional analyses, asymmetry in the levels 0–0.05 and 0.05–2%MVIC was significantly positively associated with neck pain intensity in both unadjusted and adjusted analyses. Asymmetry in the levels of 4–6, 6–8 and 8–10%MVIC was significantly negatively associated with neck pain in unadjusted analyses. In longitudinal analyses, significant positive associations were found for asymmetry in level 0–0.05%MVIC and negative associations for asymmetry in levels > 20%MVIC.
Conclusion:
While asymmetry in the very low levels of muscle [...]